Provider Demographics
NPI:1659163970
Name:KEL HEALTH AND WELLNESS NURSING CORPORATION
Entity type:Organization
Organization Name:KEL HEALTH AND WELLNESS NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKWARAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-768-2649
Mailing Address - Street 1:2210 NELSON AVE APT D
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-2428
Mailing Address - Country:US
Mailing Address - Phone:626-768-2649
Mailing Address - Fax:626-995-1540
Practice Address - Street 1:1225 CYPRESS AVE STE 3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-1112
Practice Address - Country:US
Practice Address - Phone:626-768-2649
Practice Address - Fax:626-995-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty